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Uterine necrosis in a case of B-Lynch brace suture

Meena N. Satia, Vibha S. More.

B Lynch is a conservative surgical procedure for Atonic PPH not responding to medical line of treatment very few complications of this procedure have been reported. We describe B-Lynch suture erosion through the uterine wall identified on 16 day postpartum. A 24 year old primigravida underwent a primary low transverse cesarean section at term indication being primigravida with breach presentation intra-operatively there was torrential blood loss and uterus remained flabby despite treatment with uterotonics drugs delayed absorbable suture was used to place B-Lynch suture for control of the hemorrhage and had sepsis for which she had to undergo obstetric hysterectomy.

Key words: B-Lynch, Obstetric hysterectomy, Postpartum haemorrhage, Atonic uterus

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American Journal of Diagnostic Imaging


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